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    v1.0.28
    OpenPayerNPI Medicare & MedicaidStefanie Gray
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    Stefanie Gray — Billing Profile & Reimbursement Data

    NPI 1700901188 · Overland Park, KS · General Practice Dentistry

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    Stefanie Gray is a general practice dentistry provider located in Overland Park, Kansas. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStefanie Gray
    Address12611 Antioch Rd
    CityOverland Park
    StateKS
    ZIP66213
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedMarch 21, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$687.2K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A1,970$70$128K
    D2392Post 2 surface resin‑based composite1,970$50$106.5K
    D0120Periodic oral evaluation - established patient3,380$20$67.7K
    D1120Prophylaxis–child3,080$20$55.4K
    D2391Resin‑based composite – one surface, posterior1,140$40$45.6K
    D1208Topical application of fluoride - excluding varnish3,240$10$32.4K
    D0272N/A2,300$10$29.9K
    D9230N/A1,640$20$29.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)680$40$28K
    D0150Comprehensive oral evaluation – new or established patient820$30$27K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kansas median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A26601,370$120$359.9K
    D1351Sealant - per tooth1412101,490$20$189.4K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients134320590$30$120.1K
    D1120Prophylaxis–child56360540$40$108.9K
    D2392Post 2 surface resin‑based composite30190330$80$107.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)50130340$80$107.5K
    D3220N/A1930540$60$96.1K
    D2391Resin‑based composite – one surface, posterior40170240$70$81K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth117340380$60$75.7K
    D0120Periodic oral evaluation - established patient59390560$20$68.5K

    Showing 1–10 of 22

    Nearby Providers

    Other providers in the same ZIP code as Stefanie Gray, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pinnacle Regional Hospital, Inc.KSGeneral Acute Care Hospital$0$12.8M
    Rose EstatesKSAssisted Living Facility$0$4.4M
    Christopher KoenigKSRheumatology Physician$2.3M$0
    Deer Creek Surgery Center, LLCKSAmbulatory Surgical Clinic/Center$1.8M$0
    Saint Lukes South Hospital, Inc.KSGeneral Acute Care Hospital$0$1.6M
    Keith WarrenKSOphthalmology Physician$1.1M$8.4K
    Mep Kansas LLCKSEmergency Medicine Physician$0$1.1M
    Clare RoeweKSFamily Nurse Practitioner$952.9K$0
    Saint Lukes South Surgery Center LLCKSAmbulatory Surgical Clinic/Center$949.8K$0
    Advanced Radiology Consultants Of Kansas City, PAKSDiagnostic Radiology Physician$0$840.3K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Kansas Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Stefanie Gray — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas